■创伤后应激障碍(PTSD)是一种精神障碍,在暴露于压力性创伤事件后表现出来,比如战斗经验。积累的证据表明,遗传对PTSD的发展具有重要影响。5-羟色胺转运体(5-HTT)基因已被确定为PTSD的候选基因,并且5-羟色胺转运体相关启动子区(5-HTTLPR)的多态性与普通人群中的疾病有关。然而,它是否与现役军人的PTSD有关尚未进行调查。本研究旨在探讨5-HTTLPR与服役人员PTSD的关系。
■从服务成员中提取白细胞基因组DNA,包括患有PTSD(n=134)或没有PTSD(n=639)的患者。通过两个阶段的TaqMan荧光PCR检测5-HTTLPR多态性。使用PTSD清单(PCL)评估PTSD症状和症状严重程度,17项,基于DSM,自我报告问卷具有良好的效度和信度。PTSD是根据DSM-IV标准的认可和PCL总分≥44确定的。
■在PTSD和对照组之间观察到双等位基因分布的显着差异(χ2=7.497,P=0.024)。SS的频率,SL,和LL基因型在PTSD组分别为0.17、0.56和0.27,与非PTSD对照组的0.27、0.43和0.29的频率相比。L等位基因的携带者在PCL上的重新体验和唤醒症状得分较高,与SS纯合子携带者相比(P<0.05)。三等位基因基因型在PTSD组和对照组之间的分布没有显着差异(P>.05),并且与PTSD症状严重程度无关。5-HTTLPR的三等位基因基因型与创伤生活事件的相互作用与重新体验有关,回避,和唤醒(所有P<0.05)。多元回归分析显示,5-HTTLPR的双等位基因和三等位基因基因型之间存在显着相关性,压力一生事件数量的相互作用,5-HTTLPR基因型与PCL总分(P<0.001)。
■我们的研究结果表明,5-HTT可能在创伤后应激障碍中起次要作用,5-HTTLPR与环境的相互作用对PCL评分有影响,补充和强调PTSD的5-HTT,尤其是在军人中。
UNASSIGNED: Post-traumatic stress disorder (PTSD) is a mental disorder that manifests after exposure to a stressful traumatic event, such as combat experience. Accumulated evidence indicates an important genetic influence in the development of PTSD. The serotonin transporter (5-HTT) gene has been identified as a candidate for PTSD and a polymorphism of the serotonin transporter-linked promoter region (5-HTTLPR) is associated with the disorder in the general population. However, whether it is associated with PTSD in active military service members has not been investigated. This study aimed to investigate the relationship between 5-HTTLPR and PTSD in service members.
UNASSIGNED: Leucocyte genomic DNA was extracted from service members, including those with PTSD (n = 134) or without PTSD (n = 639). The 5-HTTLPR polymorphism was detected by means of 2 stages of TaqMan fluorescent PCR assay. PTSD symptoms and symptom severity were assessed using the PTSD Checklist (PCL), a 17-item, DSM-based, self-report questionnaire with well-established validity and reliability. PTSD was determined based on endorsement of DSM-IV criteria and a PCL total score ≥ 44.
UNASSIGNED: Significant differences in biallele distribution were observed between PTSD and controls (χ2 = 7.497, P = .024). The frequency of SS, SL, and LL genotypes in the PTSD group was 0.17, 0.56, and 0.27 respectively, compared to the frequencies of 0.27, 0.43, and 0.29 in non-PTSD controls. Carriers of the L allele had higher scores for reexperiencing and arousal symptoms on the PCL, compared to SS homozygote carriers (P < .05). The triallele genotypes showed no significant differences in distribution between the PTSD and control groups (P > .05) and no relationship with PTSD symptom severity. The interaction of triallelic genotypes of 5-HTTLPR and traumatic life events was associated with re-experiencing, avoidance, and arousal (P < .05 for all). Multiple regression analysis revealed significant correlations between both biallelic and triallelic genotypes of 5-HTTLPR, the interaction of the number of stressful lifetime events, and 5-HTTLPR genotypes with PCL total score (P < .001).
UNASSIGNED: Our findings suggested that 5-HTT might play a minor role in PTSD, and the interaction between 5-HTTLPR and the environment had effects on PCL score, complementing and emphasizing 5-HTT for PTSD, especially in the military population.